Provider Demographics
NPI:1093102923
Name:CANTU, AMANDA NOEMI (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:NOEMI
Last Name:CANTU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7017 N 10TH ST STE N2
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3288
Mailing Address - Country:US
Mailing Address - Phone:956-603-1555
Mailing Address - Fax:956-800-6369
Practice Address - Street 1:1112 E GRIFFIN PKWY STE D
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-2408
Practice Address - Country:US
Practice Address - Phone:956-603-1557
Practice Address - Fax:956-800-6369
Is Sole Proprietor?:No
Enumeration Date:2015-04-17
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS6368207RE0101X
TXBP10052476207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine